The news here just reported that VA Service Centers have an increasing workload for various vet needs, and that vets are frustrated by delays in treatments, etc..
It seems to me that local VA service centers could refer vets for treatments to local hospitals, clinics and/or health providers for the majority of needs unless the Helena VA hospital offers better, specialized and/or faster care than what vets could get locally.
It seems more logical to me based on MT is the 4th largest state in the union, long-distance travel is not easy even in the summer, and there are added expenses for family members if they need to stay with vets in Helena.
Vet needs could be accommodated closer to home which could allow medical care to expand in those areas in order to accommodate the need. That could have a economic benefit to local communities, plus improving overall health care availability to the rest of the community.
My .02